RE: Info needed

[Blackburn, Paul]

Heather,   The Sherlock Tip Location System IFU is your best source for information as the IFU has been approved by the FDA and is therefore covered by extensive testing.  Here are the two statements from the IFU that you should know:   "The Sherlock detector can be used on pateints who have implanted cardiac rhythm devices such as pacemakers and defribillators.  When a cardiac rhythm device is present, it is recommended that the Sherlock tip location system stylet be placed on the contralateral side."   "Temporary disruption of the cardiac rhythm device may occur is the Sherlock tip location stylet passes within 1cm of the cardiac rhythm device.  Use care if placing the Sherlock tip location stylet on the same side as the cardiac rhythm device."   Keep in mind, we are speaking of the actual pacer or defib box, not the pacer wires.  So first choice is to place the PICC on the contralateral side.  If this can't be avoided, check to see where the pacer box is.  If it is within 1cm of the subclavian, you should consult the patient's cardiologist before placing a PICC while using Sherlock.  It is also a good idea to have this patient on an EKG monitor during the procedure.  Bottom line, if the Sherlock does affect the pacer--and that's a big if because the magnetic signal put out by Sherlock is so minor that if it does affect the pacer, it will only be a temporary disruption that will clear once the catheter has moved away from the pacer box.   Please let me know if you have additional questions.  Thanks, Paul   Paul L. Blackburn, RN, MNA Manager, Clinical Education Office:  800-443-5505, ext. 4981 Mobile:  801-598-1657 Email:  [EMAIL PROTECTED]          Confidentiality Notice:  This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Heather Nichols Sent: Thursday, August 10, 2006 6:00 AM To: [EMAIL PROTECTED] Subject: Info needed Question for any of you who have used the Sherlock with Bard.  I was told that the Sherlock was NOT contraindicated for use when a patient has a pace maker or electrical device of some kind in their chest.  I have recently been told that you must be careful not to get the device (the Sherlock) anywhere near the implant, and as long as you do not, you are ok to use it.  Does anyone have the actual manufacturer recommendation?  I hate to give out incorrect information.  Paul?  Are you out there?  Kathy?  Do you know?     Heather Nichols RN BSN CRNI Infusion Services University of Louisville Trauma Institute 530 S. Jackson St. Lou. Ky. 40202 (502)562-3530 ----------------------------------------------------- Confidentiality Disclaimer This message, including any attachments, is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law, including PHI (Protected Health Information) covered under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.  If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender or contact the University of Louisville Health Care I.S. helpdesk at 502.562.3637 to report an inadvertently received message. -----------------------------------------------------